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Deficiency Category | Inspection Date: 11/19/24 Complaint Reporting Period: 4/1/24 - 3/31/25 | Inspection Date: 11/21/23 Complaint Reporting Period: 4/1/23 - 3/31/24 | Inspection Date: 12/16/22 Complaint Reporting Period: 4/1/22 - 3/31/23 |
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Emergency Preparedness Deficiencies | |||
Automatic Sprinkler Systems Deficiencies | |||
Building Construction Deficiencies | |||
Services Deficiencies | |||
Corridor Walls and Doors Deficiencies | |||
Egress Deficiencies | |||
Electrical Deficiencies | |||
Emergency Plans and Fire Drills Deficiencies | |||
Fire Alarm Systems Deficiencies | |||
Smoke Deficiencies | |||
Interior Finish Deficiencies | |||
Gas, Vacuum, and Electrical Systems Deficiencies | |||
Hazardous Area Deficiencies | |||
Illumination and Emergency Power Deficiencies | |||
Laboratories Deficiencies | |||
Medical Gases and Anesthetizing Areas Deficiencies | |||
Smoking Regulations Deficiencies | |||
Miscellaneous Deficiencies |
Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in Illinois: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States: |
No Emergency Preparedness Deficiencies were found during this inspection period. |
No Automatic Sprinkler Systems Deficiencies were found during this inspection period. |
No Building Construction Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Have elevators that firefighters can control in the event of a fire. | 11/19/24 | 11/27/24 | 2 - Minimal harm or potential for actual harm | Many |
No Corridor Walls and Doors Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Install emergency lighting that can last at least 1 1/2 hours. | 11/19/24 | 11/27/24 | 2 - Minimal harm or potential for actual harm | Many |
Have properly located and lighted "Exit" signs. | 11/19/24 | 11/27/24 | 2 - Minimal harm or potential for actual harm | Some |
No Electrical Deficiencies were found during this inspection period. |
No Emergency Plans and Fire Drills Deficiencies were found during this inspection period. |
No Fire Alarm Systems Deficiencies were found during this inspection period. |
No Smoke Deficiencies were found during this inspection period. |
No Interior Finish Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Have generator or other power source capable of supplying service within 10 seconds. | 11/19/24 | 12/5/24 | 2 - Minimal harm or potential for actual harm | Many |
Ensure proper usage of power strips and extension cords. | 11/19/24 | 11/27/24 | 2 - Minimal harm or potential for actual harm | Some |
No Hazardous Area Deficiencies were found during this inspection period. |
No Illumination and Emergency Power Deficiencies were found during this inspection period. |
No Laboratories Deficiencies were found during this inspection period. |
No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period. |
No Smoking Regulations Deficiencies were found during this inspection period. |
No Miscellaneous Deficiencies were found during this inspection period. |
Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in Illinois: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States: |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Develop and maintain an Emergency Preparedness Program (EP). | 11/21/23 | 12/11/23 | 2 - Minimal harm or potential for actual harm | Many |
Conduct risk assessment and an All-Hazards approach. | 11/21/23 | 12/11/23 | 2 - Minimal harm or potential for actual harm | Many |
Address patient/client population and determine types of services needed. | 11/21/23 | 12/11/23 | 2 - Minimal harm or potential for actual harm | Many |
Establish policies and procedures for volunteers. | 11/21/23 | 12/11/23 | 2 - Minimal harm or potential for actual harm | Many |
Establish roles under a Waiver declared by secretary. | 11/21/23 | 12/11/23 | 2 - Minimal harm or potential for actual harm | Many |
Provide primary/alternate means for communication. | 11/21/23 | 12/11/23 | 2 - Minimal harm or potential for actual harm | Many |
Provide a means of sharing information on occupancy/needs. | 11/21/23 | 12/11/23 | 2 - Minimal harm or potential for actual harm | Many |
Provide family notifications of emergency plan. | 11/21/23 | 12/11/23 | 2 - Minimal harm or potential for actual harm | Many |
No Automatic Sprinkler Systems Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Use approved construction type or materials. | 11/21/23 | 1/4/24 | 2 - Minimal harm or potential for actual harm | Some |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Have properly installed electrical wiring and gas equipment. | 11/21/23 | 12/11/23 | 2 - Minimal harm or potential for actual harm | Some |
No Corridor Walls and Doors Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Keep aisles, corridors, and exits free of obstruction in case of emergency. | 11/21/23 | 12/11/23 | 2 - Minimal harm or potential for actual harm | Some |
Have exits that are accessible at all times. | 11/21/23 | 12/11/23 | 2 - Minimal harm or potential for actual harm | Some |
Install proper backup exit lighting. | 11/21/23 | 12/11/23 | 2 - Minimal harm or potential for actual harm | Some |
No Electrical Deficiencies were found during this inspection period. |
No Emergency Plans and Fire Drills Deficiencies were found during this inspection period. |
No Fire Alarm Systems Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | 11/21/23 | 12/11/23 | 2 - Minimal harm or potential for actual harm | Some |
Provide properly protected cooking facilities. | 11/21/23 | 12/11/23 | 2 - Minimal harm or potential for actual harm | Some |
Install a fire alarm system that can be heard throughout the facility. | 11/21/23 | 12/11/23 | 2 - Minimal harm or potential for actual harm | Some |
Inspect, test, and maintain automatic sprinkler systems. | 11/21/23 | 12/11/23 | 2 - Minimal harm or potential for actual harm | Some |
Install corridor and hallway doors that block smoke. | 11/21/23 | 12/11/23 | 2 - Minimal harm or potential for actual harm | Some |
No Interior Finish Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | 11/21/23 | 12/11/23 | 2 - Minimal harm or potential for actual harm | Many |
Ensure proper usage of power strips and extension cords. | 11/21/23 | 12/11/23 | 2 - Minimal harm or potential for actual harm | Some |
No Hazardous Area Deficiencies were found during this inspection period. |
No Illumination and Emergency Power Deficiencies were found during this inspection period. |
No Laboratories Deficiencies were found during this inspection period. |
No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period. |
No Smoking Regulations Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Have simulated fire drills held at unexpected times. | 11/21/23 | 12/11/23 | 1 - Potential for minimal harm | Many |
Have restrictions on the use of portable space heaters. | 11/21/23 | 12/11/23 | 2 - Minimal harm or potential for actual harm | Many |
Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in Illinois: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States: |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Provide family notifications of emergency plan. | 12/16/22 | 1/3/23 | 2 - Minimal harm or potential for actual harm | Many |
No Automatic Sprinkler Systems Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Use approved construction type or materials. | 12/16/22 | 1/3/23 | 2 - Minimal harm or potential for actual harm | Some |
No Services Deficiencies were found during this inspection period. |
No Corridor Walls and Doors Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | 12/16/22 | 1/3/23 | 2 - Minimal harm or potential for actual harm | Some |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | 12/16/22 | 1/3/23 | 2 - Minimal harm or potential for actual harm | Some |
No Electrical Deficiencies were found during this inspection period. |
No Emergency Plans and Fire Drills Deficiencies were found during this inspection period. |
No Fire Alarm Systems Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | 12/16/22 | 1/3/23 | 2 - Minimal harm or potential for actual harm | Some |
Provide properly protected cooking facilities. | 12/16/22 | 1/3/23 | 2 - Minimal harm or potential for actual harm | Some |
Install corridor and hallway doors that block smoke. | 12/16/22 | 1/3/23 | 2 - Minimal harm or potential for actual harm | Some |
No Interior Finish Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Ensure proper usage of power strips and extension cords. | 12/16/22 | 1/3/23 | 2 - Minimal harm or potential for actual harm | Some |
No Hazardous Area Deficiencies were found during this inspection period. |
No Illumination and Emergency Power Deficiencies were found during this inspection period. |
No Laboratories Deficiencies were found during this inspection period. |
No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period. |
No Smoking Regulations Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Provide a written emergency evacuation plan. | 12/16/22 | 1/3/23 | 2 - Minimal harm or potential for actual harm | Many |
This nursing home has not been cited for any deficiencies from incidents reported by the nursing home or complaints in the last 3 years. |